PDF Preventive care services: Get the most out of your Blue Cross plan - BCBSM Theyre covered, lifesaving and nothing to fear. Which health plans does the program apply to? Most PDF readers are a free download. Screening for Cervical Cancer Depression screenings. Reproduction without authorization from Blue Shield of California is prohibited. Mammograms are the best way to screen for breast cancer and can detect cancer up to three years before other signs and symptoms appear. Issuance of a prior approval number is not a guarantee of payment. Most breast cancers are found in women 50 years old and older. For more information, view our privacy policy. It may also be used to depict residual disease after neoadjuvant chemotherapy. This document provides you with information about how your claim was paid, including your payment responsibility or reimbursement, if any. For evaluation of identified lesion, mass or abnormality in breast in. That's No Excuse: It's Time to Get a Mammogram | Blue Cross Blue Shield Did you know that one in eight women will develop invasive breast cancer at some point in her life? TheU.S. Preventive Services Task Forcerecommends that women between the ages of 50 and 74 get a mammogram every two years. If you discuss new medical concerns or a current illness, the entire visit may be considered a medical treatment visit and would not be covered as preventive care. Has Blue Cross NC considered disallowing self-referrals? to expand insurance coverage for diagnostic mammograms. Breast MRI should be bilateral except for those with a history of mastectomy or when the MRI is being performed expressly to further evaluate or follow findings in one (1) breast. Health Plans for Individuals and Families, Get a Quote for Individual and Family Plans, Non-Discrimination Policy and Accessibility Services, medications and OTC nicotine replacement therapy (NRT), refer to the CDCs posted schedule of immunizations for more information. Support Transgender services | Blue Cross Blue Shield of Massachusetts Blue Cross and Blue Shield Association . Assessing Your Risk Telephonic counseling available by calling QuitlineNC at 844-8NCQUIT. Out of network billing can lead to unexpected charges. Breast health screenings | BCBSND mammogram for women between ages 35-39. Health Focus: Breast Cancer Prevention | Blue Cross Blue Shield of Alabama Breast cancer mammography (at least one baseline mammogram during the 5-year period a member is age 35 through 39 and one mammogram for each member in each calendar year for a member age 40 or older) . The goal of the diagnostic imaging program is to improve affordability of health care to Blue Cross NC members. Blue Medicare HMO and Blue Medicare PPO (as of September 1, 2010). 4510 13th Ave. S. How do 3D Mammograms Differ From Standard Ones? By Regence. 2 The HPV vaccine (Gardasil) is covered to age 45 per the Food and Drug Administration (FDA) guidelines. PDF Understanding Cost & Coverage Issues - Komen.org What is 3D Mammography | Blue Cross Blue Shield of Oklahoma 30 and above: obese. Provider consultation prior to the colonoscopy procedure is covered at 100%. 122 0 obj <>/Filter/FlateDecode/ID[<13345823F9F84C49978F51E9E4B0DEB3><85AA0C7815CFFF46BE97C496C3A4895B>]/Index[104 37]/Info 103 0 R/Length 89/Prev 75360/Root 105 0 R/Size 141/Type/XRef/W[1 2 1]>>stream Blue Cross and Blue Shield of North Carolina does not discriminate on the basis of race, color, national origin, sex, age or disability in its health programs and activities. - Ebonie from Chicago, IL [Humana HMO] "I used to have Blue Cross Blue Shield and we didn't have a copay for normal mammograms but even then, I still paid $1700 because the no-cost mammogram lead to ultrasound, another mammogram, and an MRI. Place of service exclusion: Sterilization coverage applies to all places of service, with the exception of the Emergency Room. "To put it in perspective, the dose of radiation is lower than that of a chest x-ray," Mehta said. Bronze Standard - Individual & Family Health Plans 2021 - BCBSWNY If physicians have questions about the Blue Cross NC diagnostic imaging management program, they should contact their local Network Management representatives. Regence supports women's preventive breast health. Fewer false alarms reduce unnecessary re-testing along with stress and worry. American Imaging Management (AIM) was selected as a vendor in part due to their track record of creating cost savings while reducing the unnecessary administrative burden on physician offices. Blue Cross Blue Shield of Massachusetts is an Independent Licensee of the . Thanks in part to preventive screenings, there are approximately 2.8 million breast cancer survivors in the U.S. as of 2016. For women age 30-65. Coverage that is supplemental to Medicare but with no member cost Description: Screening for cervical cancer. Should a member request You are viewing estimated values for an individual. Health plans are offered by Blue Shield of California. Wellness service benefits pay you money*. 25 - 29.9: overweight. . Of the 4 million women age 40 to 65 in Texas, 2.6 million . Breast cancer is the most widely found cancer in U.S. women, next to skin cancer. Call the National Information Center at 1-800-411-BLUE (2583) weekdays from 8 a.m. to 8 p.m. Eastern time. As always, be sure to check your specific plan coverage and see an in-network provider. Dental, Life and Disability are offered by Florida Combined Life . BSC6.07 Digital Breast Tomosynthesis - Blue Shield of California Mammograms | How to Prevent Breast Cancer | BlueCrossMN Please review the terms of use and privacy policies of the new site you will be visiting. In addition, some sites may require you to agree to their terms of use and privacy policy. Preventive Care for Women | BCBSMN - Blue Cross MN 2023 Blue Cross and Blue Shield of North Carolina. New health problems discussed with your doctor during your visit, Diagnoses that need to be addressed such as high blood pressure, diabetes, skin rash, and headaches, Breast cancer mammography screenings for women over age 40, Colorectal cancer screening for adults over age 45, Cholesterol screening for adults of certain ages or at higher risk, Additional testing and follow-up procedures if abnormalities are found during mammography or colorectal cancer screenings, Request for a vitamin Dlevel check to test for bone and muscle development and function, Request for a vaccination filter test to determine acceptable amounts of vaccine antibodies in the bloodstream. Mammograms 101 - Anthem Page 2 of 33. time of service to determine coverage or non -coverage of these services as it applies to an individual member. Blue Cross and Blue Shield of North Carolina is an independent licensee of the Blue Cross and Blue Shield Association. Counseling. PDF Blue Cross and Blue Shield of Illinois Provider Manual - BCBSIL As a result, we believe that Blue Cross NC is taking an important step for patient safety and in managing increased costs by implementing a diagnostic imaging managing program. Screenings, tests and other preventive care services Preventive care service Cost . Telligent is an operating division of Verint Americas, Inc., an independent company that provides and hosts an online community platform for blogging and access to social media for Blue Cross and Blue Shield of Illinois. Breast cancer is the second leading cause of cancer deaths among women in the U.S. Still, over the past decade, there have been advances in mammogram technology. We use cookies on this website to give you the best experience and measure website usage. Blue Cross NC is an abbreviation for Blue Cross and Blue Shield of North Carolina. Click on a service to see any limits or exclusions. This is especially important for women who have dense breast tissue. Blue Cross and Blue Shield of North Carolina does not discriminate on the basis of race, color, national origin, sex, age or disability in its health programs and activities. Yes, as of September 1, 2010, all Blue Medicare HMO and Blue Medicare PPO members participate in the program. We cover mental health services for transgender and gender-diverse members, whether or not you have a mental health diagnosis. The following are the recommended vaccines for women that are covered with no out of pocket cost. Pays cash if you're treated for cancer. Scroll down to see some common services that may or may not be covered during a preventive care visit. Typical costs: For an uninsured patient, typical full-price cost of a mammogram ranges from $80 to $120 or more, with an average of about $102, according to Blue Cross Blue Shield of North Carolina. File is in portable document format (PDF). Its common to receive a Pap test (also called a Pap smear or pelvic exam) during your visit. If you have an HMO or POS plan, there are some additional services you'll need approval for. These benefits are available for members of non-grandfathered individual health insurance plans. All Rights Reserved. If there is a medical reason you cannot use a generic statin, your doctor should review this. Genetic counseling and evaluation can help determine if youve inherited a BRCA mutation. For preoperative evaluation for known breast cancer when surgery planned within thirty (30) days; Evaluation of more than two (2) lesions to optimize surgical planning when requested by surgeon or primary care provider on behalf of surgeon who has seen the individual. Blue Cross Blue Shield of North Dakota is an independent licensee of the Blue Cross Blue Shield Association, serving residents and business in North Dakota. You will be going to a new website, operated on behalf of the Blue Cross and Blue Shield Service Benefit Plan by a third party. Since being a carrier is relatively uncommon, doctors usually only test people with a family history of breast or ovarian cancer. Your Florida Blue Medicare health plan includes a mammogram screening every year for women age 40 and over.

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